Milwaukee shoulder syndrome (artropatia destruente apatite-associata): Aspetti terapeutici

Translated title of the contribution: Milwaukee shoulder syndrome (apatite associated destructive arthritis): Therapeutic aspects

Oscar Epis, E. Viola, E. Bruschi, F. Benazzo, C. Montecucco

Research output: Contribution to journalArticle

Abstract

Milwaukee shoulder is a well defined clinical entity that can be observed in particular in older women. It is a destructive arthropathy associated with the deposition of calcium pyrophosphate dihydrate cristals, characterized by the presence of large amount of synovial fluid and a complete tear of the rotator cuff. Clinical features include pain, swelling and progressive functional impairment. The first-line treatment include the use of analgesic drugs and repeated arthrocentesis followed by intra-articular steroid administration; closed-needle tidal irrigation has been reported to be useful. In late phase we can observe narrowing of the acromion-humeral and of the gleno-humeral joint and progressive degenerative changes at the humeral head, leading to almost complete functional impairment. In these cases a surgical approach with total shoulder arthroplasty may be considered.

Original languageItalian
Pages (from-to)69-77
Number of pages9
JournalReumatismo
Volume57
Issue number2
Publication statusPublished - 2005

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Apatites
Arthritis
Joints
Acromion
Chondrocalcinosis
Humeral Head
Joint Diseases
Synovial Fluid
Arthroplasty
Needles
Analgesics
Steroids
Pain
Therapeutics
Rotator Cuff Tear Arthropathy
Rotator Cuff Injuries
Arthrocentesis

ASJC Scopus subject areas

  • Rheumatology

Cite this

Milwaukee shoulder syndrome (artropatia destruente apatite-associata) : Aspetti terapeutici. / Epis, Oscar; Viola, E.; Bruschi, E.; Benazzo, F.; Montecucco, C.

In: Reumatismo, Vol. 57, No. 2, 2005, p. 69-77.

Research output: Contribution to journalArticle

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